Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $250 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
650
Rank: 258th
out of 1,858 providers in this state & specialty
Services
Performed
12,602
Rank: 33rd
out of 1,858 providers in this state & specialty
Avg Services
Per Patient
19.4 This Provider is in the top 10%
Avg 5.3
Total Paid
by Medicare
$352K
Rank: 37th
out of 1,858 providers in this state & specialty
Avg Paid
Per Patient
$542 This Provider is in the top 10%
Avg $250

Note: About 15% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 61 different services in 2015
(24 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
2,204
times performed,
17% of his services

1st 4th

most performed service for this provider most performed service in this state & specialty

606
patients got this service, 93% of his patients
3.6
average number of visits a patient made for this service
(Peers: 2.1)
$8,904.16an average of $4.04 per time performed $6,435.68
an average of $2.92 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
1,735
times performed,
14% of his services

2nd 1st

most performed service for this provider most performed service in this state & specialty

577
patients got this service, 89% of his patients
3
average number of visits a patient made for this service
(Peers: 2.2)
$192,532.95an average of $110.97 per time performed $126,082.45
an average of $72.67 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,439
times performed,
11% of his services

3rd 9th

most performed service for this provider most performed service in this state & specialty

574
patients got this service, 88% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.6)
$57,560.00an average of $40.00 per time performed $19,109.92
an average of $13.28 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
1,390
times performed,
11% of his services

4th 7th

most performed service for this provider most performed service in this state & specialty

568
patients got this service, 87% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.6)
$34,750.00an average of $25.00 per time performed $14,317.00
an average of $10.30 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
730
times performed,
6% of his services

5th 11th

most performed service for this provider most performed service in this state & specialty

87
patients got this service, 13% of his patients
8.4
average number of visits a patient made for this service
(Peers: 6.8)
$11,680.00an average of $16.00 per time performed $3,796.00
an average of $5.20 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
724
times performed,
6% of his services

6th 21st

most performed service for this provider most performed service in this state & specialty

467
patients got this service, 72% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$31,132.00an average of $43.00 per time performed $16,116.24
an average of $22.26 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
651
times performed,
5% of his services

7th 18th

most performed service for this provider most performed service in this state & specialty

297
patients got this service, 46% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.7)
$20,832.00an average of $32.00 per time performed $8,332.80
an average of $12.80 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
366
times performed,
3% of his services

8th 6th

most performed service for this provider most performed service in this state & specialty

317
patients got this service, 49% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$14,640.00an average of $40.00 per time performed $4,531.08
an average of $12.38 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
362
times performed,
3% of his services

9th 44th

most performed service for this provider most performed service in this state & specialty

313
patients got this service, 48% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$3,982.00an average of $11.00 per time performed $1,524.02
an average of $4.21 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
304
times performed,
2% of his services

10th 20th

most performed service for this provider most performed service in this state & specialty

304
patients got this service, 47% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$36,480.00an average of $120.00 per time performed $34,561.76
an average of $113.69 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
290
times performed,
2% of his services

11th 15th

most performed service for this provider most performed service in this state & specialty

290
patients got this service, 45% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,540.00an average of $26.00 per time performed $7,070.20
an average of $24.38 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
288
times performed,
2% of his services

12th 17th

most performed service for this provider most performed service in this state & specialty

288
patients got this service, 44% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$51,840.00an average of $180.00 per time performed $48,360.96
an average of $167.92 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
273
times performed,
2% of his services

13th 8th

most performed service for this provider most performed service in this state & specialty

273
patients got this service, 42% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,098.00an average of $26.00 per time performed $6,601.14
an average of $24.18 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
269
times performed,
2% of his services

14th 32nd

most performed service for this provider most performed service in this state & specialty

269
patients got this service, 41% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,385.38an average of $20.02 per time performed $4,123.77
an average of $15.33 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
213
times performed,
2% of his services

15th 2nd

most performed service for this provider most performed service in this state & specialty

168
patients got this service, 26% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.1)
$15,975.00an average of $75.00 per time performed $10,336.89
an average of $48.53 per time performed
medical
PATHOLOGY AND LABORATORY

Ldl cholesterol level

Service Code: 83721
Performed in an office
187
times performed,
1% of his services

16th 69th

most performed service for this provider most performed service in this state & specialty

165
patients got this service, 25% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$5,610.00an average of $30.00 per time performed $2,350.59
an average of $12.57 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
150
times performed,
1% of his services

17th 24th

most performed service for this provider most performed service in this state & specialty

89
patients got this service, 14% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$5,254.50an average of $35.03 per time performed $1,627.50
an average of $10.85 per time performed
medical
PROCEDURES

Colorectal cancer screening; fecal occult blood test, imm... +

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ×

Service Code: G0328
Performed in an office
129
times performed,
1% of his services

18th 124th

most performed service for this provider most performed service in this state & specialty

129
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,225.00an average of $25.00 per time performed $2,737.38
an average of $21.22 per time performed
medical
PATHOLOGY AND LABORATORY

Cholesterol level

Service Code: 82465
Performed in an office
98
times performed,
0.78% of his services

19th 164th

most performed service for this provider most performed service in this state & specialty

97
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$1,470.00an average of $15.00 per time performed $379.26
an average of $3.87 per time performed
medical
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
82
times performed,
0.65% of his services

20th 57th

most performed service for this provider most performed service in this state & specialty

80
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,394.00an average of $17.00 per time performed $561.70
an average of $6.85 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
81
times performed,
0.64% of his services

21st 72nd

most performed service for this provider most performed service in this state & specialty

79
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,023.38an average of $24.98 per time performed $619.65
an average of $7.65 per time performed
medical
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
67
times performed,
0.53% of his services

22nd 71st

most performed service for this provider most performed service in this state & specialty

67
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,087.00an average of $61.00 per time performed $1,643.51
an average of $24.53 per time performed
medical
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
61
times performed,
0.48% of his services

23rd 46th

most performed service for this provider most performed service in this state & specialty

61
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,675.00an average of $175.00 per time performed $10,254.71
an average of $168.11 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
57
times performed,
0.45% of his services

24th 48th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$133.95an average of $2.35 per time performed $64.41
an average of $1.13 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
40
times performed,
0.32% of his services

25th 16th

most performed service for this provider most performed service in this state & specialty

36
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,630.00an average of $40.75 per time performed $445.20
an average of $11.13 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
36
times performed,
0.29% of his services

26th 25th

most performed service for this provider most performed service in this state & specialty

29
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$5,294.88an average of $147.08 per time performed $3,704.40
an average of $102.90 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
33
times performed,
0.26% of his services

27th 35th

most performed service for this provider most performed service in this state & specialty

28
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,419.00an average of $43.00 per time performed $396.66
an average of $12.02 per time performed
medical
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
29
times performed,
0.23% of his services

28th 114th

most performed service for this provider most performed service in this state & specialty

29
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$725.00an average of $25.00 per time performed $463.71
an average of $15.99 per time performed
medical
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
25
times performed,
0.2% of his services

29th 111th

most performed service for this provider most performed service in this state & specialty

25
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,245.00an average of $169.80 per time performed $4,073.50
an average of $162.94 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
24
times performed,
0.19% of his services

30th 76th

most performed service for this provider most performed service in this state & specialty

24
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$624.00an average of $26.00 per time performed $393.12
an average of $16.38 per time performed
medical

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in an office
21
times performed,
0.17% of his services

31st 117th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,935.00an average of $235.00 per time performed $3,786.51
an average of $180.31 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
21
times performed,
0.17% of his services

32nd 27th

most performed service for this provider most performed service in this state & specialty

20
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.7)
$546.00an average of $26.00 per time performed $353.64
an average of $16.84 per time performed
medical

Transitional care management services, moderately complex... +

Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge ×

Service Code: 99495
Performed in an office
20
times performed,
0.16% of his services

33rd 104th

most performed service for this provider most performed service in this state & specialty

19
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,300.00an average of $165.00 per time performed $2,570.80
an average of $128.54 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
19
times performed,
0.15% of his services

34th 136th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$1,159.00an average of $61.00 per time performed $466.07
an average of $24.53 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
13
times performed,
0.1% of his services

35th 88th

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$195.00an average of $15.00 per time performed $61.36
an average of $4.72 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
13
times performed,
0.1% of his services

36th 86th

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$234.00an average of $18.00 per time performed $61.62
an average of $4.74 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
12
times performed,
0.1% of his services

37th 58th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$900.00an average of $75.00 per time performed $469.56
an average of $39.13 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Gayland Oliver Hethcoat
Average for Internal Medicine Providers in Virginia

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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